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[SURVEY PREVIEW MODE] Requests for Information from AVS Sur1.ey

7/9/14

Requests for Information from AVS

0MB # 1029-0114
Expiration Date:
08/31/2023
AVSO SERVICES EVALUATION FORM
The ApplicanWiolator System Office within the Office of Surface Mining recently provided you
with assistance. To help us to assess the quality of our services under the Federal Government
Performance and Results Act, please take a few moments to fill out this evaluation form. Your
response, which is voluntary and anonymous, will help us to better serve you in the future.
TYPE OF ASSISTANCE WE PROVIDED:
Requests for Information from AVS
(Goal: Provide information within 2 business days following request)
1. Please rate our timeliness:
1= Very Poor

2= Poor

3= Neutral

4= Good

5= Very Good

4= Good

5= Very Good

4= Good

5= Very Good

2. Please rate the quality of our assistance:
1= Very Poor

2= Poor

3= Neutral

3. Please rate our professionalism and courtesy:
1= Very Poor

2= Poor

3= Neutral

4. How can we improve our service to you?

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